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Senior Rn Utilization Review Nurse Jobs in Springfield, MO

Americare Senior Living

Charge Nurse (RN)

Nixa, MO · On-site

Your Role as the Charge Nurse (RN) Skilled Nursing Americare Senior Living is seeking a dedicated Charge Nurse (RN) to provide frontline clinical leadership and exceptional resident care within our ...

Parkside Memory Care

Charge Nurse (RN)

Springfield, MO · On-site

Charge Nurse (RN) Americare Senior Living is seeking a dedicated Charge Nurse (RN) to provide frontline clinical leadership and exceptional resident care within our skilled nursing community. In this ...

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All JobsRn Utilization Review Nurse JobsSenior Rn Utilization Review Nurse JobsSenior Rn Utilization Review Nurse Jobs in Springfield, MO

Senior Rn Utilization Review Nurse information

See Springfield, MO salary details

$19

$38

$62

How much do senior rn utilization review nurse jobs pay per hour?

As of Aug 8, 2026, the average hourly pay for senior rn utilization review nurse in Springfield, MO is $38.46, according to ZipRecruiter salary data. Most workers in this role earn between $30.38 and $44.18 per hour, depending on experience, location, and employer.

What is the difference between Senior Rn Utilization Review Nurse vs Rn Case Manager?

AspectSenior Rn Utilization Review NurseRn Case Manager
CertificationsRN license, possibly UR or case management certificationRN license, often case management certification
Work EnvironmentHospitals, insurance companies, healthcare organizationsHospitals, community health, insurance providers
Primary FocusReviewing medical necessity and utilization of servicesCoordinating patient care and discharge planning
Common UsageUsed in insurance and healthcare review settingsUsed in patient care coordination and discharge planning

The Senior Rn Utilization Review Nurse primarily focuses on evaluating the necessity and appropriateness of healthcare services, often working within insurance companies or healthcare organizations. In contrast, Rn Case Managers concentrate on coordinating patient care, discharge planning, and ensuring smooth healthcare delivery. Both roles require RN licensure and relevant certifications, but their daily responsibilities and work environments differ slightly.

What does a Senior RN Utilization Review Nurse do?

A Senior RN Utilization Review Nurse is a registered nurse who evaluates the medical necessity, appropriateness, and efficiency of healthcare services provided to patients. They review patient records, apply clinical guidelines, and collaborate with healthcare providers to ensure that treatments are cost-effective and meet established standards of care. Additionally, they often mentor junior staff, participate in policy development, and help optimize resource utilization within healthcare organizations. Their work supports quality patient care while managing healthcare costs.

What are some typical challenges faced by a Senior RN Utilization Review Nurse when coordinating with multidisciplinary teams?

Senior RN Utilization Review Nurses often collaborate with physicians, case managers, and insurance representatives to ensure patients receive appropriate, cost-effective care. A common challenge is balancing clinical guidelines with payer requirements, which can sometimes lead to differing opinions on the necessity of certain treatments or services. Effective communication, strong negotiation skills, and up-to-date knowledge of regulatory standards are essential to navigate these situations successfully. Being proactive and maintaining strong professional relationships helps facilitate smoother approvals and promotes patient-centered care.

What are the key skills and qualifications needed to thrive as a Senior RN Utilization Review Nurse, and why are they important?

To thrive as a Senior RN Utilization Review Nurse, you need a strong clinical nursing background, active RN licensure, and in-depth knowledge of medical necessity criteria and healthcare regulations. Familiarity with utilization review software, electronic health records (EHRs), and certifications like CCM (Certified Case Manager) or URAC are highly beneficial. Exceptional critical thinking, attention to detail, and effective communication skills distinguish top performers in this role. These skills ensure accurate case evaluations, compliance with regulations, and optimized patient care while controlling healthcare costs.
What are popular job titles related to Senior Rn Utilization Review Nurse jobs in Springfield, MO? For Senior Rn Utilization Review Nurse jobs in Springfield, MO, the most frequently searched job titles are:
What job categories do people searching Senior Rn Utilization Review Nurse jobs in Springfield, MO look for? The top searched job categories for Senior Rn Utilization Review Nurse jobs in Springfield, MO are:
Senior Rn Utilization Review Nurse jobs near you
Infographic showing various Senior Rn Utilization Review Nurse job openings in Springfield, MO as of August 2026, with employment types broken down into 1% As Needed, 83% Full Time, 13% Part Time, and 3% Contract. Highlights an 89% Physical, 3% Hybrid, and 8% Remote job distribution, with an average salary of $79,999 per year, or $38.5 per hour.

Registered Nurse | RN

Tutera Senior Living & Health Care

Forsyth, MO • On-site

$32 - $35/hr

Full-time

Medical, Dental, Vision, Life, Retirement, PTO

Re-posted 7 days ago

Job description

Registered Nurse | RN

Forsyth Rehabilitation and Health Care Center

Are you a Registered Nurse | RN seeking an exciting new career opportunity? Look no further! Tutera Senior Living & Health Care is seeking health care rockstars to join our team! If you are dedicated and compassionate, WE WANT YOU!

What Will You Do in This Role?

As a Registered Nurse| RN, you are responsible for ensuring the delivery of efficient and effective nursing care while achieving positive clinical outcomes and resident/family satisfaction in accordance with accepted standards of practice, state and federal regulations, and licensing requirements. You will operate within the scope of practice defined by the state Nurse Practice Act. As a Registered Nurse | RN, you will also be responsible for resident care and direction of nursing care during assigned shift; includes staff assignments, mentoring and educating nursing personnel, and working with physicians and other medical professionals.

Do You Have What It Takes?

  • A fire and passion for working with seniors
  • A flexible, fun, and energetic personality
  • Must have active, and in good standing, Registered Nurse (RN) license in the state of practice
  • Prior experience as a Registered Nurse (RN) in a LTC/SNF/AL/MC setting preferred
  • Professional image in both appearance and behavior
  • Excellent written and oral communication skills

Why is Tutera THE Employer of Choice?

  • Tutera Senior Living & Health Care is guided by one single purpose: To live the YOUNITE philosophy in every decision, every day. Based on genuine respect, YOUNITE is how we get to know residents and team members on a personal level. By asking about our employees’ and residents’ unique needs and preferences, we actively listen and then deliver. Do you want to work for a company where you are the driving force behind every decision made?
  • Tutera offers stability; our family-owned company was founded in 1985!
  • Tutera offers a competitive starting wage and amazing benefits! We take care of you so you can be a rockstar at work and at home!
  • Tutera Senior Living & Health Care is dedicated to growing and developing our Tutera rockstars. Through Tutera University, every employee has the opportunity to learn new skills and become the best health care rockstar they can be!

Apply today and let us show you how we are inspired by you.

Equal Opportunity Employer. The wage and benefit information provided in this listing is subject to change. Benefits eligibility criteria must be met to enroll in available benefits.


How Can You Benefit?

  • Advanced Pay
  • Financial Literacy Classes
  • Employee Assistance Program offering Mental Health Resources, Legal Guidance, Financial Information, and more!
  • Child Care Discount
  • Health Insurance
  • Dental Insurance
  • Vision Insurance
  • Life Insurance
  • 401(k) for Eligible Locations
  • Tuition Reimbursement
  • Paid Time Off
  • Holiday Pay
  • Exclusive Tutera Perks
  • Tutera University
  • Advancement Opportunities
  • Free AAPACN Membership

2026-18768

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